Złamanie ramienia
Epidemiologia

Złamania kości ramiennej stanowią istotny problem kliniczny, zróżnicowany pod względem lokalizacji i demografii pacjentów. Złamania proksymalne stanowią około 5% wszystkich złamań i 25% złamań kości ramiennej, z przewagą u osób powyżej 60. roku życia, szczególnie kobiet (75% przypadków, stosunek 3:1 wobec mężczyzn). Złamania trzonu kości ramiennej to około 60% złamań tej kości, a dystalne złamania, w tym w obrębie stawu łokciowego, stanowią około 4,3% wszystkich złamań. Częstość złamań przedramienia u dorosłych wynosi 207,7/100 000 osób rocznie, z wyraźną przewagą u kobiet (323,4/100 000) w porównaniu do mężczyzn (93,3/100 000). W populacji pediatrycznej dominują złamania nadkłykciowe (80% złamań łokcia), najczęściej u chłopców w wieku 5-10 lat, a złamania dystalnej 1/3 przedramienia stanowią 40-50% wszystkich złamań dziecięcych. Epidemiologia wskazuje na stabilizację lub niewielki spadek częstości złamań w ostatnich dekadach, z wyjątkiem wzrostu złamań dalszej części przedramienia u kobiet w wieku 50-59 lat (wzrost roczny 3,9%).

Epidemiologia złamania ramienia (Broken arm Epidemiology)

Złamania ramienia należą do najczęstszych złamań kości w populacji ogólnej. W zależności od lokalizacji anatomicznej wyróżnia się złamania proksymalne (bliższe) stanowiące około 5% wszystkich złamań i 25% złamań kości ramiennej, złamania środkowej części trzonu (około 60% złamań kości ramiennej i 12% wszystkich złamań) oraz złamania dystalne (dalsze), które stanowią pozostały odsetek przypadków1. Złamania w obrębie stawu łokciowego, w tym dystalne złamania kości ramiennej, stanowią około 4,3% wszystkich złamań2.

Według danych z National Electronic Injury Surveillance System w Stanach Zjednoczonych, w 2016 roku odnotowano około 2 118 568 pacjentów zgłaszających się na oddziały ratunkowe z powodu złamań kończyny górnej, co stanowiło 1,46% wszystkich wizyt w tych placówkach3. Warto zauważyć, że częstość występowania złamań kończyny górnej utrzymuje się na stabilnym poziomie od lat 90. XX wieku.

Rozkład demograficzny złamań ramienia

Dystrybucja złamań kości ramiennej wykazuje istotne różnice w zależności od wieku i płci. Częstość występowania złamań proksymalnych wzrasta wraz z wiekiem, przy czym około 75% przypadków dotyczy osób powyżej 60. roku życia4. W tej grupie wiekowej złamania występują trzy razy częściej u kobiet niż u mężczyzn. Prawidłowość ta obserwowana jest również w odniesieniu do innych typów złamań ramienia5.

Złamania środkowej części kości ramiennej są częste zarówno wśród osób starszych, jak i fizycznie aktywnych młodych mężczyzn, którzy doznają urazów mechanicznych tej kości6. Natomiast złamania dystalne są rzadkie wśród dorosłych, występują głównie u dzieci doświadczających urazów w okolicy stawu łokciowego7.

Badania nad złamaniami dalszej części przedramienia, które często towarzyszą złamaniom ramienia lub są klasyfikowane łącznie, wykazują, że całkowita częstość występowania u dorosłych wynosi 207,7/100 000 osób rocznie. U kobiet częstość ta jest znacznie wyższa i wynosi 323,4/100 000 rocznie, natomiast u mężczyzn – 93,3/100 000 rocznie8. Te dane potwierdzają, że złamania kości ramiennej i przedramienia są szczególnie powszechne u kobiet po menopauzie9.

Złamania ramienia u dzieci

W populacji pediatrycznej aż 80% wszystkich złamań w okolicy łokcia występuje w regionie nadkłykciowym kości ramiennej10. Ten typ urazu najczęściej dotyka chłopców w wieku 5-10 lat11. Złamania nadkłykciowe stanowią prawie 60% wszystkich złamań łokcia u dzieci i najczęściej występują u dzieci w wieku 5-7 lat1213.

Warto również zauważyć, że złamania przedramienia są najczęstszymi złamaniami u dzieci, stanowiąc 40-50% wszystkich złamań dziecięcych. Dystalna 1/3 przedramienia, obejmująca kość promieniową i/lub łokciową, jest najczęstszą lokalizacją, odpowiadającą za około 75% złamań przedramienia i 20-25% wszystkich złamań pediatrycznych14. Wynika to ze zwiększonej masy ciała w stosunku do zmniejszonej zawartości minerałów kostnych podczas wzrostu i rozwoju.

Analiza trendów czasowych w epidemiologii złamań ramienia wskazuje na interesujące zmiany. W latach 2008-2019 w Norwegii zaobserwowano spadek częstości występowania złamań dalszej części przedramienia – u kobiet o 4,7%, a u mężczyzn o 7,0%15. Ogólne standaryzowane względem wieku wskaźniki częstości wszystkich złamań przedramienia zmniejszyły się o 3,5% u mężczyzn, natomiast pozostały niezmienione u kobiet w badanym okresie16.

W Stanach Zjednoczonych badanie oparte na National Electronic Injury Surveillance System wykazało, że częstość występowania złamań proksymalnych i dystalnych ramienia zmniejszyła się między okresami 2005-2009 a 2015-201917. Jednocześnie, inne badanie przeprowadzone w hrabstwie Olmsted w stanie Minnesota wykazało, że porównywalne standaryzowane wskaźniki częstości złamań wzrosły o 11% (z 3627 do 4017 na 100 000 osobolat) między latami 1989-1991 a 2009-201118.

Interesującym trendem jest obserwowany w USA wzrost liczby złamań dalszej części przedramienia przede wszystkim wśród kobiet w grupie wiekowej 50-59 lat, w tempie rocznym 3,9% w latach 2001-200719. Może to wskazywać na zmieniające się wzorce aktywności w tej grupie demograficznej20.

Obserwowany spadek częstości występowania złamań może mieć różne wyjaśnienia. Po pierwsze, zmiany w stylu życia, w tym ograniczenie palenia tytoniu, które jest znanym czynnikiem ryzyka złamań osteoporotycznych. Po drugie, wzrost wskaźnika masy ciała w populacji, który, jak wykazano, zmniejsza ryzyko złamań dalszej części przedramienia u kobiet21.

Jednakże starzenie się populacji na całym świecie będzie skutkować zwiększonym obciążeniem szpitali oraz wzrostem kosztów związanych ze złamaniami22. Szacuje się, że złamania związane z wiekiem wzrosną w USA z 2,1 miliona w 2005 roku do ponad 3 milionów złamań w 2025 roku, wyłącznie na podstawie wzrostu liczby osób starszych najbardziej narażonych na ryzyko23.

Czynniki ryzyka złamań ramienia

Identyfikacja czynników ryzyka złamań ramienia ma kluczowe znaczenie dla opracowania skutecznych strategii profilaktycznych. Do głównych czynników ryzyka należą:

Czynniki demograficzne

  • Wiek – ryzyko złamań ramienia, zwłaszcza proksymalnych, znacząco wzrasta po 60. roku życia24
  • Płeć – kobiety są znacznie bardziej narażone, szczególnie po menopauzie, z przewagą 3:1 nad mężczyznami w przypadku niektórych typów złamań2526
  • Osteoporoza – główny czynnik ryzyka złamań ramienia u osób starszych, dotykający jedną na trzy kobiety i jednego na pięciu mężczyzn po 50. roku życia na całym świecie2728

Czynniki medyczne

  • Osteoporoza – zaburzenie metaboliczne kości zwiększające ryzyko złamań nawet przy niewielkich urazach29
  • Cukrzyca – zwiększa ryzyko złamań kości ramiennej30
  • Epilepsja – napady mogą prowadzić do upadków i urazów31
  • Guzy kości – osłabiają strukturę kości, zwiększając ryzyko złamań patologicznych32

Czynniki związane ze stylem życia

  • Aktywność sportowa – sporty kontaktowe jak piłka nożna, futbol amerykański, gimnastyka, narciarstwo, skateboarding zwiększają ryzyko złamań ramienia33
  • Upadkiupadek na wyciągniętą rękę jest najczęstszą przyczyną złamania ramienia3435
  • Urazy wysokoenergetyczne – wypadki komunikacyjne, upadki z wysokości, obserwowane częściej u młodszych osób36

Mechanizm urazu prowadzący do złamania ramienia

Złamania ramienia mogą być spowodowane różnymi mechanizmami urazowymi, które różnią się w zależności od wieku pacjenta i lokalizacji złamania:

  • Upadek na wyciągniętą rękę – najczęstszy mechanizm złamania ramienia, szczególnie u osób starszych z osteoporozą3738
  • Urazy niskoenergetyczne – najczęściej upadki z wysokości własnej u osób starszych z osteoporotyczną kością, stanowiące 66-77% przypadków złamań dalszej części kości promieniowej39
  • Urazy wysokoenergetyczne – wypadki komunikacyjne, upadki z wysokości, odpowiadające za około 10% złamań nadgarstka, częściej występujące u młodszych osób4041
  • Urazy sportowe – szczególnie w sportach kontaktowych lub tych zwiększających ryzyko upadku42

W badaniu opartym na danych z Rochester Epidemiology Project, złamania zostały sklasyfikowane według etiologii: te spowodowane określonym procesem patologicznym (np. nowotworem przerzutowym), te wynikające z poważnego urazu (np. wypadki samochodowe lub upadki z wysokości większej niż wzrost człowieka) oraz te spowodowane umiarkowanym urazem (umownie równoważnym upadkowi z wysokości własnej lub mniejszej)43.

Standaryzowana względem wieku częstość występowania złamań spowodowanych znacznym urazem była podobna u kobiet i mężczyzn (1325 na 100 000 osobolat vs. 1305 na 100 000 osobolat), podobnie jak częstość złamań patologicznych (87 na 100 000 osobolat vs. 90 na 100 000 osobolat). Jednak częstość złamań spowodowanych umiarkowanym urazem była znacznie wyższa wśród kobiet niż mężczyzn (3287 na 100 000 osobolat vs. 1750 na 100 000 osobolat)44.

Nadzór i monitorowanie złamań ramienia

Systemy nadzoru i monitorowania złamań ramienia są kluczowe dla zrozumienia epidemiologii tych urazów i opracowania skutecznych strategii zapobiegawczych. Wiele krajów i regionów utworzyło rejestry urazów lub systemy monitorowania w celu gromadzenia danych epidemiologicznych.

Krajowe i regionalne rejestry złamań

Szwedzki Rejestr Złamań (Swedish Fracture Register, SFR) gromadzi populacyjne dane dotyczące złamań wszystkich typów od 2011 roku45. Ten rejestr jakości umożliwia monitorowanie jakości opieki zdrowotnej i jej wyników, ale może być również wykorzystywany w badaniach naukowych. Dostarcza on szczegółowych danych na temat anatomicznego rozmieszczenia, leczenia i zapadalności na złamania palców, ale także inne złamania kończyn górnych46.

W Stanach Zjednoczonych National Electronic Injury Surveillance System (NEISS) jest wykorzystywany do szacowania wizyt na oddziałach ratunkowych związanych z urazami, w tym złamaniami kończyn górnych4748. System ten pozwala na monitorowanie trendów czasowych i identyfikację czynników ryzyka.

Metody nadzoru i monitorowania

Oprócz rejestrów medycznych, monitoring złamań ramienia obejmuje również:

  • Monitoring radiologiczny – wykrywanie i klasyfikacja złamań kręgów, które często są diagnozowane przypadkowo na zdjęciach rentgenowskich wykonanych z innego powodu49
  • Monitoring wideo – w niektórych przypadkach, nagrania z monitoringu mogą być wykorzystywane do oceny mechanizmu urazu, co może mieć znaczenie w przypadkach medyczno-prawnych5051
  • Badania przesiewowe w kierunku osteoporozy – szczególnie ważne dla pacjentów z grupy wysokiego ryzyka złamań, w tym złamań ramienia52

W przypadku podejrzenia nadużyć, szczególnie wobec dzieci, monitorowanie złamań może obejmować ocenę mechanizmu urazu pod kątem zgodności z historią medyczną. Warto jednak zauważyć, że złamania nadkłykciowe w następstwie znęcania się nad dziećmi są rzadkie, a samo złamanie nie powinno być „czerwoną flagą” wskazującą na znęcanie53.

Monitorowanie w określonych warunkach

Monitoring i nadzór nad złamaniami ramienia może być również prowadzony w określonych warunkach, takich jak:

  • Obiekty opieki zdrowotnej – monitoring wideo w placówkach opieki zdrowotnej może pomagać w wyjaśnianiu okoliczności urazów pacjentów5455
  • Obiekty handlowe i publiczne – kamery monitoringu mogą pomóc w ustaleniu mechanizmu urazu i ocenie odpowiedzialności w przypadku złamań ramienia doznanych w takich miejscach5657
  • Miejsca pracy – monitoring urazów w miejscu pracy, w tym złamań ramienia, jest istotnym elementem programów bezpieczeństwa i higieny pracy58

Implikacje dla zdrowia publicznego

Złamania ramienia, jako powszechna przyczyna urazów, mają istotne implikacje dla zdrowia publicznego. Ze względu na swoją częstość występowania, złamania te stanowią znaczące obciążenie dla systemów opieki zdrowotnej i generują znaczne koszty medyczne i społeczne.

Obciążenie systemów opieki zdrowotnej

Starzenie się populacji na całym świecie będzie odpowiedzialne za znaczny wzrost częstości występowania osteoporozy u kobiet po menopauzie59. Szacuje się, że liczba mężczyzn i kobiet z osteoporozą w UE wzrośnie z 27,5 miliona w 2010 roku do 33,9 miliona w 2025 roku, co odpowiada wzrostowi o 23%60. To przełoży się na wzrost liczby złamań, w tym złamań ramienia.

Osteoporoza i niska masa kostna stanowią obecnie poważne zagrożenie dla zdrowia publicznego dla prawie 54 milionów amerykańskich kobiet i mężczyzn w wieku 50 lat i starszych61. Wśród 10,2 miliona dorosłych szacowanych na osteoporozę w Stanach Zjednoczonych, ponad 80% stanowią kobiety62.

Strategie zapobiegania złamaniom ramienia

Biorąc pod uwagę znaczne obciążenie zdrowotne i ekonomiczne związane ze złamaniami ramienia, opracowanie skutecznych strategii zapobiegawczych jest priorytetem. Do kluczowych strategii należą:

  • Profilaktyka osteoporozy – programy badań przesiewowych, suplementacja wapnia i witaminy D, aktywność fizyczna i farmakoterapia w przypadkach wysokiego ryzyka63
  • Programy zapobiegania upadkom – ocena ryzyka upadków, modyfikacja środowiska domowego, ćwiczenia równoważne, przegląd leków64
  • Usługi koordynacji opieki nad złamaniami (Fracture Liaison Service) – zintegrowane podejście do minimalizacji ryzyka kolejnych złamań u pacjentów, którzy już doznali złamania65
  • Edukacja publiczna – zwiększanie świadomości na temat ryzyka złamań i sposobów zapobiegania66

Badanie przeprowadzone przez IOF w 11 krajach wykazało, że zaprzeczanie osobistemu ryzyku przez kobiety po menopauzie, brak dialogu na temat osteoporozy z lekarzem oraz ograniczony dostęp do diagnostyki i leczenia przed pierwszym złamaniem skutkują niedodiagnozowaniem i niedoleczeniem tej choroby67.

Podsumowanie

Złamania ramienia stanowią istotny problem zdrowia publicznego, szczególnie wśród osób starszych, a zwłaszcza kobiet po menopauzie. Epidemiologia tych złamań jest złożona i zależy od wielu czynników, w tym wieku, płci, gęstości mineralnej kości i mechanizmu urazu6869.

Dane epidemiologiczne wskazują na stabilizację lub niewielki spadek częstości występowania niektórych typów złamań ramienia w ostatnich latach, co może być związane ze zmianami w stylu życia i większą świadomością czynników ryzyka7071. Jednakże starzenie się populacji na całym świecie prawdopodobnie doprowadzi do wzrostu całkowitej liczby złamań w nadchodzących dekadach7273.

Skuteczne systemy nadzoru i monitorowania złamań ramienia są niezbędne do lepszego zrozumienia trendów epidemiologicznych i opracowania ukierunkowanych strategii profilaktycznych74. Kompleksowe podejście do zapobiegania złamaniom, obejmujące profilaktykę osteoporozy, zapobieganie upadkom i edukację publiczną, może pomóc zmniejszyć obciążenie związane z tymi urazami7576.

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  1. 12.04.2026
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Materiały źródłowe

  • #1 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #2 Distal Humerus Fractures: Practice Essentials, Anatomy, Etiology
    https://emedicine.medscape.com/article/1239515-overview
    The incidence of fractures of the elbow joint is small compared with that of fractures of other bones. Elbow joint fractures have been estimated to make up 4.3% of all fractures. Typically occurring after high-energy injury, these fractures can lead to significant functional impairment. Distal humerus fractures most commonly involve both medial and lateral columns. Single condylar fractures make up approximately 5% of distal humerus fractures. Epicondylar and coronal shear fractures of the articular surface are less commonly observed. […] A retrospective study by Mitchelson et al found that individuals undergoing surgery for distal humerus fractures were more likely to be obese, younger than 40 years, female, and recipients of Medicare with relatively few comorbidities, who resided in a rural setting and sought care at urban/teaching hospitals within the southern United States; in addition, they were more likely to have shorter hospital stays, to be discharged home, and to have better survival. […] In the pediatric population, 80% of all elbow fractures occur in the supracondylar region. The injury typically occurs in young boys aged 5-10 years.
  • #3 AAHS – The Epidemiology of Upper Extremity Fractures in the United States
    https://meeting.handsurgery.org/abstracts/2020/HSEP225.cgi
    The Epidemiology of Upper Extremity Fractures in the United States […] Our objective was to provide an up to date and more representative quantification of upper extremity fractures, and to define the incidence of fractures of the shoulder girdle and upper extremity in the United States. […] There were an estimated 2,118,568 patients presenting to an emergency department with an upper extremity fracture in 2016, representing 1.46% of all ED visits in this dataset, which is stable since previously reported in 1997 and 2001. […] Our analysis represents a valid cross-sectional estimate of the incidence of new presentations to an emergency department for an upper extremity fracture in the United States. This is also the first study to use ICD10 coding to facilitate accurate anatomic description of fractures along long bones.
  • #4 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #5 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #6 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #7 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #8 Epidemiology of Distal Forearm Fracture: A Population-Based Study of 5426 Fractures – PubMed
    https://pubmed.ncbi.nlm.nih.gov/35856325/
    Despite intensive research into the epidemiology of adult distal forearm fractures, the literature is limited. This study aimed to provide a full overview of adult distal forearm fracture epidemiology, including incidence, fracture classification, mode of injury, and trauma mechanism in patients sustaining a distal forearm fracture, based on an accurate at-risk population with manually validated data leading to a high quality in data. […] The primary outcome measure was the incidence of adult distal forearm fractures. […] The overall incidence of adult distal forearm fractures was 207.7/100 000/year. Female incidence was 323.4/100 000/year, and male incidence was 93.3/100 000/year. […] Results show that adult distal forearm fractures are very common in women after the postmenopausal period. The overall incidence of adult distal forearm fractures was 207.8/100 000/year. Female incidence was 323.4/100 000/year.
  • #9 Epidemiology of Distal Forearm Fracture: A Population-Based Study of 5426 Fractures – PubMed
    https://pubmed.ncbi.nlm.nih.gov/35856325/
    Despite intensive research into the epidemiology of adult distal forearm fractures, the literature is limited. This study aimed to provide a full overview of adult distal forearm fracture epidemiology, including incidence, fracture classification, mode of injury, and trauma mechanism in patients sustaining a distal forearm fracture, based on an accurate at-risk population with manually validated data leading to a high quality in data. […] The primary outcome measure was the incidence of adult distal forearm fractures. […] The overall incidence of adult distal forearm fractures was 207.7/100 000/year. Female incidence was 323.4/100 000/year, and male incidence was 93.3/100 000/year. […] Results show that adult distal forearm fractures are very common in women after the postmenopausal period. The overall incidence of adult distal forearm fractures was 207.8/100 000/year. Female incidence was 323.4/100 000/year.
  • #10 Distal Humerus Fractures: Practice Essentials, Anatomy, Etiology
    https://emedicine.medscape.com/article/1239515-overview
    The incidence of fractures of the elbow joint is small compared with that of fractures of other bones. Elbow joint fractures have been estimated to make up 4.3% of all fractures. Typically occurring after high-energy injury, these fractures can lead to significant functional impairment. Distal humerus fractures most commonly involve both medial and lateral columns. Single condylar fractures make up approximately 5% of distal humerus fractures. Epicondylar and coronal shear fractures of the articular surface are less commonly observed. […] A retrospective study by Mitchelson et al found that individuals undergoing surgery for distal humerus fractures were more likely to be obese, younger than 40 years, female, and recipients of Medicare with relatively few comorbidities, who resided in a rural setting and sought care at urban/teaching hospitals within the southern United States; in addition, they were more likely to have shorter hospital stays, to be discharged home, and to have better survival. […] In the pediatric population, 80% of all elbow fractures occur in the supracondylar region. The injury typically occurs in young boys aged 5-10 years.
  • #11 Distal Humerus Fractures: Practice Essentials, Anatomy, Etiology
    https://emedicine.medscape.com/article/1239515-overview
    The incidence of fractures of the elbow joint is small compared with that of fractures of other bones. Elbow joint fractures have been estimated to make up 4.3% of all fractures. Typically occurring after high-energy injury, these fractures can lead to significant functional impairment. Distal humerus fractures most commonly involve both medial and lateral columns. Single condylar fractures make up approximately 5% of distal humerus fractures. Epicondylar and coronal shear fractures of the articular surface are less commonly observed. […] A retrospective study by Mitchelson et al found that individuals undergoing surgery for distal humerus fractures were more likely to be obese, younger than 40 years, female, and recipients of Medicare with relatively few comorbidities, who resided in a rural setting and sought care at urban/teaching hospitals within the southern United States; in addition, they were more likely to have shorter hospital stays, to be discharged home, and to have better survival. […] In the pediatric population, 80% of all elbow fractures occur in the supracondylar region. The injury typically occurs in young boys aged 5-10 years.
  • #12 Epidemiology of Displaced Supracondylar Fractures
    https://www.scientificarchives.com/article/epidemiology-of-displaced-supracondylar-fractures
    Supracondylar fractures of the humerus are the most common elbow fracture in the pediatric population and comprise nearly 60% of all elbow fractures. Supracondylar fractures most commonly occur in children aged five to seven. […] The epidemiology of supracondylar fractures has evolved in recent years due to an increased incidence of childhood involvement in athletics and modern changes in playground equipment. […] The primary aim of this study was to investigate if child abuse is a common mechanism leading to displaced supracondylar fractures. […] In our cohort, 73 of the 75 children with supracondylar fractures were older than two. […] Supracondylar fractures following an act of child abuse are rare. […] The results of the current study and literature review demonstrate that a supracondylar fracture by itself should not be a red flag for abuse.
  • #13
    https://www.orthobullets.com/pediatrics/4007/supracondylar-fracture–pediatric
    Supracondylar Fractures are one of the most common traumatic fractures seen in children and most commonly occur in children 5-7 years of age from a fall on an outstretched hand. […] Epidemiology […] Incidence […] extension type most common (95-98%) […] flexion type less common […] Demographics […] occur most commonly in children aged 5-7 years […] M = F […] Vascular Injury […] radial pulse absent on initial presentation in 7-12% […] pulseless hand after closed reduction and pinning (3-4%) […] if perfusion is lost following reduction and pinning, pins should be removed immediately […] decision to explore is based on quality of extremity perfusion rather than absence of pulse […] arteriography is NOT indicated in isolated injuries […] role of doppler is unclear and does not change treatment.
  • #14 Distal forearm fractures in children: Diagnosis and assessment – UpToDate
    https://www.uptodate.com/contents/distal-forearm-fractures-in-children-diagnosis-and-assessment
    Forearm fractures are the most common fractures in children, representing 40 to 50 percent of all childhood fractures. The distal third of the forearm, involving the radius and/or ulna, is the most common location, accounting for about 75 percent of forearm fractures and 20 to 25 percent of all pediatric fractures. This high incidence can be explained by increased body mass in relation to an overall decreased bone mineral content during growth and development. Most of these fractures will occur in children older than five years (peak age 10 to 14).
  • #15
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The purpose of this paper is to describe rates of forearm fractures in adults in Norway 20082019. Incidence rate of distal forearm fractures declined over time in both sexes. Forearm fracture constitute a significant health burden and prevention strategies are needed. […] To assess age- and sex-specific incidence rates, and time trends for forearm fractures in Norway, and compare these with incidence rates in other Nordic countries. […] We identified 181,784 forearm fractures in 45,628,418 person-years. Mean annual forearm fracture incidence rates per 100,000 person-years were 398 (95% CI 390407) for all, 565 (95% CI 550580) for women, and 231 (95% CI 228234) for men above 20 years. […] Age-adjusted incidence rates of distal forearm fractures significantly declined from 2008 to 2019 by 4.7% for women (IRR=0.953 (95% CI 0.9190.976)) and 7.0% for men (IRR=0.930; 95% CI 0.8860.965).
  • #16
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #17 National Electronic Injury Surveillance System sports-related arm fractures in the USA: thrower’s fractures – The Journal of Sports Medicine and Physical Fitness 2021 September;61(9):1235-41 – Minerva Medica – Journals
    https://www.minervamedica.it/en/journals/sports-med-physical-fitness/article.php?cod=R40Y2021N09A1235
    BACKGROUND: Humerus fractures are common in the USA. The purpose of this study was to utilize the National Electronic Injury Surveillance System: 1) to compare overall and age stratified incidence rates of proximal and distal arm fractures presenting to USA emergency departments; 2) to compare relative humerus fracture locations by age; and 3) to compare anatomical humerus fracture locations stratified by sports between 2005-2009 and 2015-2019. […] RESULTS: There was a decrease (P CONCLUSIONS: USA proximal and distal arm fracture rates decreased, and distributions differed by age between 2005-2009 and 2015-2019. Relative humerus fractures differed by time periods. One major non-impact sports related humerus fracture was extreme external rotational torque from throwing.
  • #18
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    To assess recent trends in fracture incidence from all causes at all skeletal sites, we used the comprehensive (inpatient and outpatient) data resources of the Rochester Epidemiology Project to estimate rates for Olmsted County, Minnesota, residents in 200911, compared to similar data from 198991. […] Overall, comparably adjusted fracture incidence rates increased by 11% (from 3627 to 4017 per 100,000 person-years; p = 0.008) between 198991 and 20092011. […] The dramatic increase in vertebral fractures, seen in both sexes and especially after age 75 years, was attributable in part to incidentally-diagnosed vertebral fractures. […] More generally, these data indicate that the dramatic increases in the incidence of fractures at many skeletal sites that were observed decades ago have now stabilized.
  • #19 Epidemiology of fall related forearm and wrist fractures among adults treated in US hospital emergency departments | Injury Prevention
    https://injuryprevention.bmj.com/content/17/1/33
    Objective To examine national estimates of forearm and wrist fractures among adults treated in US emergency departments. […] The National Electronic Injury Surveillance System All Injury Program was used to estimate emergency department visits for unintentional fall related forearm and/or wrist fractures among adults aged 50years or older between 2001 and 2007. […] Based on 14771 cases, an estimated 1045008 adults aged 50years were treated in US hospital emergency departments for fall related forearm and/or wrist fractures during the study period. Of these, an estimated 832591 (80%) fractures occurred among women. […] The incidence of fractures among women increased gradually with age from the age of 50years. In men, fracture rates remained low until later in life. […] Between 2001 and 2007, fracture rates increased predominantly among women in the age group 5059years at an annual rate of 3.9% (95% CI 0.1 to 8.2).
  • #20 Epidemiology of fall related forearm and wrist fractures among adults treated in US hospital emergency departments | Injury Prevention
    https://injuryprevention.bmj.com/content/17/1/33
    The study indicates marked gender differences in unintentional fall related forearm and/or wrist fractures among adults aged 50years treated in US hospital emergency departments. Interventions aimed at preventing falls might be effective in reducing the incidence of this injury, particularly in those women who already have diminished bone mineral.
  • #21
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #22
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #23
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    Age-related fractures are projected to increase nationally from 2.1 million in 2005 to over 3 million fractures in 2025, solely on the basis of growth in the elderly population most at risk. […] Unfortunately, there are no recent data on secular trends in incidence that include all fracture types and relevant age-groups. […] To provide more current information on fracture burden in the community, we updated our earlier study to estimate skeletal site-specific and overall fracture incidence in a population-based descriptive study among Olmsted County residents 50 years of age in 200911 and to test for secular trends at each fracture site since 198991. […] Using this unique medical records linkage system (the Rochester Epidemiology Project), we identified all fractures that occurred among Olmsted County residents 50 years old and over during the 3-year period, 200911.
  • #24 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #25 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #26
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #27 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Osteoporosis is a major non-communicable disease and the most common bone disease, affecting one in three women and one in five men over the age of 50 worldwide. […] The clinical consequence of osteoporosis is fragility fractures. […] It has been shown that an initial fracture is a major risk factor for a new fracture. […] With the rapid ageing of the population worldwide and the changes in lifestyle habits, the incidence of osteoporosis and related fractures has significantly increased and will continue to increase markedly in the future. […] Due to its prevalence worldwide, osteoporosis is considered a serious public health concern. […] It is estimated that 75 million people in Europe, USA and Japan are affected by osteoporosis. […] In Asia, osteoporosis is greatly under-diagnosed and under-treated, even in the most high-risk patients who have already fractured.
  • #28
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #29 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    A broken arm involves one or more of the three bones in your arm the ulna, radius and humerus. […] Common causes for a broken arm include: […] Falling onto an outstretched hand or elbow is the most common cause of a broken arm. […] Certain medical conditions or physical activities can increase the risk of a broken arm. […] Any sport that involves physical contact or increases your risk of falling including football, soccer, gymnastics, skiing and skateboarding also increases the risk of a broken arm. […] Conditions that weaken bones, such as osteoporosis and bone tumors, increase your risk of a broken arm. […] The prognosis for most arm fractures is very good if treated early. […] Complications can include: […] If a part of your broken bone protrudes through your skin, it can be exposed to germs that can cause infection.
  • #30
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #31
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #32 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    A broken arm involves one or more of the three bones in your arm the ulna, radius and humerus. […] Common causes for a broken arm include: […] Falling onto an outstretched hand or elbow is the most common cause of a broken arm. […] Certain medical conditions or physical activities can increase the risk of a broken arm. […] Any sport that involves physical contact or increases your risk of falling including football, soccer, gymnastics, skiing and skateboarding also increases the risk of a broken arm. […] Conditions that weaken bones, such as osteoporosis and bone tumors, increase your risk of a broken arm. […] The prognosis for most arm fractures is very good if treated early. […] Complications can include: […] If a part of your broken bone protrudes through your skin, it can be exposed to germs that can cause infection.
  • #33 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    A broken arm involves one or more of the three bones in your arm the ulna, radius and humerus. […] Common causes for a broken arm include: […] Falling onto an outstretched hand or elbow is the most common cause of a broken arm. […] Certain medical conditions or physical activities can increase the risk of a broken arm. […] Any sport that involves physical contact or increases your risk of falling including football, soccer, gymnastics, skiing and skateboarding also increases the risk of a broken arm. […] Conditions that weaken bones, such as osteoporosis and bone tumors, increase your risk of a broken arm. […] The prognosis for most arm fractures is very good if treated early. […] Complications can include: […] If a part of your broken bone protrudes through your skin, it can be exposed to germs that can cause infection.
  • #34 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    A broken arm involves one or more of the three bones in your arm the ulna, radius and humerus. […] Common causes for a broken arm include: […] Falling onto an outstretched hand or elbow is the most common cause of a broken arm. […] Certain medical conditions or physical activities can increase the risk of a broken arm. […] Any sport that involves physical contact or increases your risk of falling including football, soccer, gymnastics, skiing and skateboarding also increases the risk of a broken arm. […] Conditions that weaken bones, such as osteoporosis and bone tumors, increase your risk of a broken arm. […] The prognosis for most arm fractures is very good if treated early. […] Complications can include: […] If a part of your broken bone protrudes through your skin, it can be exposed to germs that can cause infection.
  • #35
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #36
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #37 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    A broken arm involves one or more of the three bones in your arm the ulna, radius and humerus. […] Common causes for a broken arm include: […] Falling onto an outstretched hand or elbow is the most common cause of a broken arm. […] Certain medical conditions or physical activities can increase the risk of a broken arm. […] Any sport that involves physical contact or increases your risk of falling including football, soccer, gymnastics, skiing and skateboarding also increases the risk of a broken arm. […] Conditions that weaken bones, such as osteoporosis and bone tumors, increase your risk of a broken arm. […] The prognosis for most arm fractures is very good if treated early. […] Complications can include: […] If a part of your broken bone protrudes through your skin, it can be exposed to germs that can cause infection.
  • #38
    https://www.orthobullets.com/pediatrics/4007/supracondylar-fracture–pediatric
    Supracondylar Fractures are one of the most common traumatic fractures seen in children and most commonly occur in children 5-7 years of age from a fall on an outstretched hand. […] Epidemiology […] Incidence […] extension type most common (95-98%) […] flexion type less common […] Demographics […] occur most commonly in children aged 5-7 years […] M = F […] Vascular Injury […] radial pulse absent on initial presentation in 7-12% […] pulseless hand after closed reduction and pinning (3-4%) […] if perfusion is lost following reduction and pinning, pins should be removed immediately […] decision to explore is based on quality of extremity perfusion rather than absence of pulse […] arteriography is NOT indicated in isolated injuries […] role of doppler is unclear and does not change treatment.
  • #39 Distal radius fracture – Wikipedia
    https://en.wikipedia.org/wiki/Distal_radius_fracture
    Distal radius fractures are the most common fractures seen in adults and children. Distal radius fractures account for 18% of all adult fractures with an approximate rate of 23.6 to 25.8 per 100,000 per year. For children, both boys and girls have a similar incidence of these types of fractures, however the peak ages differ slightly. Girls peak at 11 years old and boys peak at 14 years old (the age that children experience the most fractures). For adults, incidences in females outnumber incidences in males by a factor of three to two. In adults, the average age of occurrence is between 57 and 66 years. Men who sustain distal radius fractures are usually younger, generally in their 40s (vs. 60s in females). Low energy injury (usually fall from standing height) is the usual cause of distal end radius fracture (66 to 77% of cases). High energy injuries accounts for 10% of wrist fractures. About 57% to 66% of the fractures are extra-articular fractures, 9% to 16% are partial-articular fractures, and 25% to 35% are complete articular fractures. Unstable metaphyseal fractures are ten times more common than severe articular fractures. Older people with osteoporosis who are still active are at an increased risk of getting distal radius fractures.
  • #40 Distal radius fracture – Wikipedia
    https://en.wikipedia.org/wiki/Distal_radius_fracture
    Distal radius fractures are the most common fractures seen in adults and children. Distal radius fractures account for 18% of all adult fractures with an approximate rate of 23.6 to 25.8 per 100,000 per year. For children, both boys and girls have a similar incidence of these types of fractures, however the peak ages differ slightly. Girls peak at 11 years old and boys peak at 14 years old (the age that children experience the most fractures). For adults, incidences in females outnumber incidences in males by a factor of three to two. In adults, the average age of occurrence is between 57 and 66 years. Men who sustain distal radius fractures are usually younger, generally in their 40s (vs. 60s in females). Low energy injury (usually fall from standing height) is the usual cause of distal end radius fracture (66 to 77% of cases). High energy injuries accounts for 10% of wrist fractures. About 57% to 66% of the fractures are extra-articular fractures, 9% to 16% are partial-articular fractures, and 25% to 35% are complete articular fractures. Unstable metaphyseal fractures are ten times more common than severe articular fractures. Older people with osteoporosis who are still active are at an increased risk of getting distal radius fractures.
  • #41
    https://www.orthobullets.com/trauma/1015/proximal-humerus-fractures
    Proximal humerus fractures are common fractures often seen in older patients with osteoporotic bone following a ground-level fall on an outstretched arm. […] Incidence: common, 4-6% of all fractures, third most common non-vertebral fracture pattern seen in the elderly (65 years old). […] Two-part surgical neck fractures are most common. […] Demographics: 2:1 female to male ratio, increasing age associated with more complex fracture types. […] Risk factors: osteoporosis, diabetes, epilepsy, female gender. […] Low-energy falls in elderly with osteoporotic bone are a common mechanism for these fractures. […] High-energy trauma is seen in young individuals. […] Avascular necrosis risk factors for humeral head ischemia are not the same for developing subsequent avascular necrosis.
  • #42 Broken arm | Health Library | Memorial Health System
    https://www.mhsystem.org/health-library/con-20310663/
    A broken arm involves one or more of the three bones in your arm the ulna, radius and humerus. […] Common causes for a broken arm include: […] Falling onto an outstretched hand or elbow is the most common cause of a broken arm. […] Certain medical conditions or physical activities can increase the risk of a broken arm. […] Any sport that involves physical contact or increases your risk of falling including football, soccer, gymnastics, skiing and skateboarding also increases the risk of a broken arm. […] Conditions that weaken bones, such as osteoporosis and bone tumors, increase your risk of a broken arm. […] The prognosis for most arm fractures is very good if treated early. […] Complications can include: […] If a part of your broken bone protrudes through your skin, it can be exposed to germs that can cause infection.
  • #43
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    Fractures were classified by etiology according to information about each event that was recorded in the medical record: those caused by a specific pathological process (e.g., metastatic malignancy) as determined by the attending physicians, those resulting from severe trauma (e.g., motor vehicle accidents or falls from greater than standing height) and those due to no more than moderate trauma (by convention, equivalent to a fall from standing height or less). […] The age-adjusted incidence of fractures due to significant trauma was similar in women and men (1325 per 100,000 p-y; 95% CI 12401409 vs. 1305 per 100,000 p-y; 95% CI 12131396), as was the incidence of pathologic fractures (87 per 100,000 p-y; 95% CI 65109 vs. 90 per 100,000 p-y; 95% CI 65115). […] The incidence of fractures due to no more than moderate trauma was much greater among the women than the men (3287 per 100,000 p-y; 95% CI 31553418 vs. 1750 per 100,000 p-y; 95% CI 16331868).
  • #44
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    Fractures were classified by etiology according to information about each event that was recorded in the medical record: those caused by a specific pathological process (e.g., metastatic malignancy) as determined by the attending physicians, those resulting from severe trauma (e.g., motor vehicle accidents or falls from greater than standing height) and those due to no more than moderate trauma (by convention, equivalent to a fall from standing height or less). […] The age-adjusted incidence of fractures due to significant trauma was similar in women and men (1325 per 100,000 p-y; 95% CI 12401409 vs. 1305 per 100,000 p-y; 95% CI 12131396), as was the incidence of pathologic fractures (87 per 100,000 p-y; 95% CI 65109 vs. 90 per 100,000 p-y; 95% CI 65115). […] The incidence of fractures due to no more than moderate trauma was much greater among the women than the men (3287 per 100,000 p-y; 95% CI 31553418 vs. 1750 per 100,000 p-y; 95% CI 16331868).
  • #45 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    There is a lack of detailed epidemiological studies of finger fractures, the most common fracture of the upper extremity. […] Based on data of 21 341 finger fractures in the Swedish Fracture register, a national quality registry that collects data on all fractures, this study describes anatomical distribution, cause, treatment, age distribution, and result in terms of patient related outcome measures (PROMs). […] The epidemiology of finger fractures is yet described only in limited populations or as sports related injuries, and without regard to detailed information about fracture location or type. […] A national quality registry is a population-based collection of individual clinical data on a specific diagnosis, treatment, or outcome. Data from these registries can be used to monitor quality of health care and results but can also be used in research. The Swedish Fracture Register (SFR) collects population-based data on fractures of all types since 2011.
  • #46 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    The aim of this study was to describe anatomical distribution, treatment, and the incidence of finger fractures based on data from the SFR and to assess possible differences in treatment and result in terms of PROMs according to fracture type, treatment, and sex. Epidemiologic research can identify risk factors, groups at risk and describe current treatment for specific a condition. This knowledge can enable better allocation of resources and more correct implementation of evidence-based treatments. […] The incidence in the VG-region from 2015 to 2019 ranged from 6.6 to 9.3 per 104 PYR. […] Based on the extensive registry data from the SFR this study presents detailed epidemiological information about finger fractures that can be used as a point of reference in clinical work and for future studies.
  • #47 National Electronic Injury Surveillance System sports-related arm fractures in the USA: thrower’s fractures – The Journal of Sports Medicine and Physical Fitness 2021 September;61(9):1235-41 – Minerva Medica – Journals
    https://www.minervamedica.it/en/journals/sports-med-physical-fitness/article.php?cod=R40Y2021N09A1235
    BACKGROUND: Humerus fractures are common in the USA. The purpose of this study was to utilize the National Electronic Injury Surveillance System: 1) to compare overall and age stratified incidence rates of proximal and distal arm fractures presenting to USA emergency departments; 2) to compare relative humerus fracture locations by age; and 3) to compare anatomical humerus fracture locations stratified by sports between 2005-2009 and 2015-2019. […] RESULTS: There was a decrease (P CONCLUSIONS: USA proximal and distal arm fracture rates decreased, and distributions differed by age between 2005-2009 and 2015-2019. Relative humerus fractures differed by time periods. One major non-impact sports related humerus fracture was extreme external rotational torque from throwing.
  • #48 Epidemiology of fall related forearm and wrist fractures among adults treated in US hospital emergency departments | Injury Prevention
    https://injuryprevention.bmj.com/content/17/1/33
    Objective To examine national estimates of forearm and wrist fractures among adults treated in US emergency departments. […] The National Electronic Injury Surveillance System All Injury Program was used to estimate emergency department visits for unintentional fall related forearm and/or wrist fractures among adults aged 50years or older between 2001 and 2007. […] Based on 14771 cases, an estimated 1045008 adults aged 50years were treated in US hospital emergency departments for fall related forearm and/or wrist fractures during the study period. Of these, an estimated 832591 (80%) fractures occurred among women. […] The incidence of fractures among women increased gradually with age from the age of 50years. In men, fracture rates remained low until later in life. […] Between 2001 and 2007, fracture rates increased predominantly among women in the age group 5059years at an annual rate of 3.9% (95% CI 0.1 to 8.2).
  • #49
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    Comparably age- and sex-adjusted, the overall incidence of fractures in 200911 was 11% greater than in 198991 (4017 per 100,000 p-y; 95% CI 39084127 vs. 3627 per 100,000 p-y; 95% CI 34853768). […] Our study confirms widespread reports that the incidence of proximal femur fractures continues to fall, not only in this country but worldwide. […] We also observed a reduction in distal forearm fractures among middle-aged women, but there was an apparent increase in these fractures among men age 50 years and over. […] Between 198991 and 200911, however, the apparent incidence of vertebral fractures rose dramatically in association with a shift in the age-specific incidence curves for both sexes to the left, i.e., an apparent earlier onset of vertebral fracture over time. […] All vertebral fractures were confirmed on radiologists reports, albeit 23% of them were found incidentally on X-rays taken for another purpose.
  • #50 Case Study: How Video Surveillance Helped Prevent a Costly General Liability Claim for a Dispensary | Conifer Insurance Services
    https://coniferinsurance.com/how-video-surveillance-helped-prevent-general-liability-claim-for-dispensary/
    A dispensary customer slipped and fell while exiting the premises, resulting in a broken arm. […] Video surveillance footage confirmed that the fall was not caused by any defect or hazard on the premises. […] The clear surveillance footage showed that the dispensary was not negligent in maintaining safe conditions. […] Surveillance footage is critical in defending against fraudulent or exaggerated claims, but having cameras isnt enough; businesses must retain the footage. […] Preventative measures like video surveillance, proper signage, and routine safety checks can greatly lessen each of these risks. […] Even with zero payouts awarded, this case highlights the importance of appropriate insurance coverage. […] This case is a prime example of how cannabis-related businesses can proactively manage risk and protect themselves from frivolous claims.
  • #51 It only takes one working arm to break into a health-club locker | Universal Hub
    https://www.universalhub.com/2023/it-only-takes-one-working-arm-break-health-club
    Surveillance photos by Cambridge PD, one of which helpfully points out his cast. […] Cambridge Police report they are still looking for a man who didn’t let an apparent broken arm stop him from breaking into two lockers at the Porter Square Planet Fitness – from which he made off with wallets and car keys back on Feb. 14. […] apparent broken arm
  • #52 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Due to changes in population demography the number of men and women with osteoporosis in the EU will rise from 27.5 million in 2010 to 33.9 million in 2025, corresponding to an increase of 23%. […] Osteoporosis and low bone mass are currently estimated to be a major public health threat for almost 54 million U.S. women and men aged 50 and older. […] The key findings from this study highlight two risk factors for osteoporosis: gender and age. […] Among the 10.2 million adults estimated to have osteoporosis in the United States, more than 80% were women. […] Additionally, osteoporosis takes a huge personal and economic toll. The ensuing fragility fractures have major impacts on the quality of life by causing substantial pain, disability, loss of independence, morbidity and even mortality for the affected patients.
  • #53 Epidemiology of Displaced Supracondylar Fractures
    https://www.scientificarchives.com/article/epidemiology-of-displaced-supracondylar-fractures
    Supracondylar fractures of the humerus are the most common elbow fracture in the pediatric population and comprise nearly 60% of all elbow fractures. Supracondylar fractures most commonly occur in children aged five to seven. […] The epidemiology of supracondylar fractures has evolved in recent years due to an increased incidence of childhood involvement in athletics and modern changes in playground equipment. […] The primary aim of this study was to investigate if child abuse is a common mechanism leading to displaced supracondylar fractures. […] In our cohort, 73 of the 75 children with supracondylar fractures were older than two. […] Supracondylar fractures following an act of child abuse are rare. […] The results of the current study and literature review demonstrate that a supracondylar fracture by itself should not be a red flag for abuse.
  • #54 chevron-right
    https://cw34.com/news/local/night-nurse-allegedly-fractures-arm-of-66-year-old-patient-florida-man-mental-health-facility-palm-beach-county-delray-beach-florida-night-nurse-patient-attack-may-7-2025
    A night nurse at a Delray Beach mental health facility allegedly assaulted a 66-year-old patient, leaving him with a fractured arm after a dispute over medication. […] Officers reviewed surveillance footage from the facility, which confirmed parts of the patient’s account. […] Levin has been accused of aggravated battery on a person 65 years old or older.
  • #55
    https://www.cbc.ca/news/canada/saskatchewan/privacy-commissioner-recommends-rps-provide-surveillance-videos-to-arrested-man-1.7362851
    The Saskatchewan privacy commissioner says Regina Police Service (RPS) should hand over surveillance videos of a person being arrested last October. […] The person, or applicant, said officers broke his arm while arresting him in the lobby of the police station. […] „I require a copy of the video of my arrest. Where my arm was broken by one of the arresting officers as I was already on the ground. And now I have a permanent problem with my arm,” he said. […] The RPS has previously refused to hand over the videos to the applicant, saying it’s a security issue. […] It withheld a total of 20 videos he appears on, „pursuant to the Local Authority Freedom of Information and Protection of Privacy Act (LA FOIP),” according to privacy commissioner’s Ronald J. Kruzeniski’s report. […] But the privacy commissioner said he thinks eight of the videos that show the man being arrested in the lobby could be released without a risk. […] „I recommend that RPS release the eight videos of the lobby to the applicant within 30 days of issuance of this report.”
  • #56 Case Study: How Video Surveillance Helped Prevent a Costly General Liability Claim for a Dispensary | Conifer Insurance Services
    https://coniferinsurance.com/how-video-surveillance-helped-prevent-general-liability-claim-for-dispensary/
    A dispensary customer slipped and fell while exiting the premises, resulting in a broken arm. […] Video surveillance footage confirmed that the fall was not caused by any defect or hazard on the premises. […] The clear surveillance footage showed that the dispensary was not negligent in maintaining safe conditions. […] Surveillance footage is critical in defending against fraudulent or exaggerated claims, but having cameras isnt enough; businesses must retain the footage. […] Preventative measures like video surveillance, proper signage, and routine safety checks can greatly lessen each of these risks. […] Even with zero payouts awarded, this case highlights the importance of appropriate insurance coverage. […] This case is a prime example of how cannabis-related businesses can proactively manage risk and protect themselves from frivolous claims.
  • #57
    https://abc7.com/van-nuys-target-mask-fight-surveillance-video-face-requirement/6172453/
    A security guard was left with a broken arm following a physical confrontation with two men who refused to wear masks inside a Target in Van Nuys. […] One of the guards suffered a broken arm. […] Gavin says this is the fourth reported fight over masks at that store since they became a requirement.
  • #58
    https://abc7news.com/van-nuys-target-mask-fight-surveillance-video-face-requirement/6172738/
    Security guard was left with a broken arm following a physical confrontation with two men who refused to wear masks inside a Target in Van Nuys, California. […] One of the guards suffered a broken arm. Additional details on his condition were not immediately available. […] Gavin says this is the fourth reported fight over masks in Van Nuys since they became a requirement in public places.
  • #59 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Worldwide, osteoporosis is estimated to affect 200 million women – approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90. […] An IOF survey, conducted in 11 countries, showed denial of personal risk by postmenopausal women, lack of dialogue about osteoporosis with their doctor, and restricted access to diagnosis and treatment before the first fracture result in under-diagnosis and undertreatment of the disease. […] Furthermore, the ageing of populations across the globe will be responsible for a major increase in the incidence of osteoporosis in postmenopausal women. […] Based on WHO diagnostic criteria (T-score less than or equal to -2.5 SD) approximately 22 million women and 5.5 million men aged between 50-84 years of age are estimated to have osteoporosis in the EU (2010 figures).
  • #60 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Due to changes in population demography the number of men and women with osteoporosis in the EU will rise from 27.5 million in 2010 to 33.9 million in 2025, corresponding to an increase of 23%. […] Osteoporosis and low bone mass are currently estimated to be a major public health threat for almost 54 million U.S. women and men aged 50 and older. […] The key findings from this study highlight two risk factors for osteoporosis: gender and age. […] Among the 10.2 million adults estimated to have osteoporosis in the United States, more than 80% were women. […] Additionally, osteoporosis takes a huge personal and economic toll. The ensuing fragility fractures have major impacts on the quality of life by causing substantial pain, disability, loss of independence, morbidity and even mortality for the affected patients.
  • #61 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Due to changes in population demography the number of men and women with osteoporosis in the EU will rise from 27.5 million in 2010 to 33.9 million in 2025, corresponding to an increase of 23%. […] Osteoporosis and low bone mass are currently estimated to be a major public health threat for almost 54 million U.S. women and men aged 50 and older. […] The key findings from this study highlight two risk factors for osteoporosis: gender and age. […] Among the 10.2 million adults estimated to have osteoporosis in the United States, more than 80% were women. […] Additionally, osteoporosis takes a huge personal and economic toll. The ensuing fragility fractures have major impacts on the quality of life by causing substantial pain, disability, loss of independence, morbidity and even mortality for the affected patients.
  • #62 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Due to changes in population demography the number of men and women with osteoporosis in the EU will rise from 27.5 million in 2010 to 33.9 million in 2025, corresponding to an increase of 23%. […] Osteoporosis and low bone mass are currently estimated to be a major public health threat for almost 54 million U.S. women and men aged 50 and older. […] The key findings from this study highlight two risk factors for osteoporosis: gender and age. […] Among the 10.2 million adults estimated to have osteoporosis in the United States, more than 80% were women. […] Additionally, osteoporosis takes a huge personal and economic toll. The ensuing fragility fractures have major impacts on the quality of life by causing substantial pain, disability, loss of independence, morbidity and even mortality for the affected patients.
  • #63
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #64 Epidemiology of fall related forearm and wrist fractures among adults treated in US hospital emergency departments | Injury Prevention
    https://injuryprevention.bmj.com/content/17/1/33
    The study indicates marked gender differences in unintentional fall related forearm and/or wrist fractures among adults aged 50years treated in US hospital emergency departments. Interventions aimed at preventing falls might be effective in reducing the incidence of this injury, particularly in those women who already have diminished bone mineral.
  • #65
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #66 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Worldwide, osteoporosis is estimated to affect 200 million women – approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90. […] An IOF survey, conducted in 11 countries, showed denial of personal risk by postmenopausal women, lack of dialogue about osteoporosis with their doctor, and restricted access to diagnosis and treatment before the first fracture result in under-diagnosis and undertreatment of the disease. […] Furthermore, the ageing of populations across the globe will be responsible for a major increase in the incidence of osteoporosis in postmenopausal women. […] Based on WHO diagnostic criteria (T-score less than or equal to -2.5 SD) approximately 22 million women and 5.5 million men aged between 50-84 years of age are estimated to have osteoporosis in the EU (2010 figures).
  • #67 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Worldwide, osteoporosis is estimated to affect 200 million women – approximately one-tenth of women aged 60, one-fifth of women aged 70, two-fifths of women aged 80 and two-thirds of women aged 90. […] An IOF survey, conducted in 11 countries, showed denial of personal risk by postmenopausal women, lack of dialogue about osteoporosis with their doctor, and restricted access to diagnosis and treatment before the first fracture result in under-diagnosis and undertreatment of the disease. […] Furthermore, the ageing of populations across the globe will be responsible for a major increase in the incidence of osteoporosis in postmenopausal women. […] Based on WHO diagnostic criteria (T-score less than or equal to -2.5 SD) approximately 22 million women and 5.5 million men aged between 50-84 years of age are estimated to have osteoporosis in the EU (2010 figures).
  • #68 Epidemiology of Distal Forearm Fracture: A Population-Based Study of 5426 Fractures – PubMed
    https://pubmed.ncbi.nlm.nih.gov/35856325/
    Despite intensive research into the epidemiology of adult distal forearm fractures, the literature is limited. This study aimed to provide a full overview of adult distal forearm fracture epidemiology, including incidence, fracture classification, mode of injury, and trauma mechanism in patients sustaining a distal forearm fracture, based on an accurate at-risk population with manually validated data leading to a high quality in data. […] The primary outcome measure was the incidence of adult distal forearm fractures. […] The overall incidence of adult distal forearm fractures was 207.7/100 000/year. Female incidence was 323.4/100 000/year, and male incidence was 93.3/100 000/year. […] Results show that adult distal forearm fractures are very common in women after the postmenopausal period. The overall incidence of adult distal forearm fractures was 207.8/100 000/year. Female incidence was 323.4/100 000/year.
  • #69 Humerus fracture – Wikipedia
    https://en.wikipedia.org/wiki/Humerus_fracture
    Humerus fractures are among the most common of fractures. Proximal fractures make up 5% of all fractures and 25% of humerus fractures, middle fractures about 60% of humerus fractures (12% of all fractures), and distal fractures the remainder. […] Incidence of proximal fractures increases with age, with about 75% of cases occurring among people over the age of 60. […] In this age group, about three times as many women as men experience a proximal fracture. […] Middle fractures are also common among the elderly, but they frequently occur among physically active young adult men who experience physical trauma to the humerus. […] Distal fractures are rare among adults, occurring primarily in children who experience physical trauma to the elbow region.
  • #70
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    Comparably age- and sex-adjusted, the overall incidence of fractures in 200911 was 11% greater than in 198991 (4017 per 100,000 p-y; 95% CI 39084127 vs. 3627 per 100,000 p-y; 95% CI 34853768). […] Our study confirms widespread reports that the incidence of proximal femur fractures continues to fall, not only in this country but worldwide. […] We also observed a reduction in distal forearm fractures among middle-aged women, but there was an apparent increase in these fractures among men age 50 years and over. […] Between 198991 and 200911, however, the apparent incidence of vertebral fractures rose dramatically in association with a shift in the age-specific incidence curves for both sexes to the left, i.e., an apparent earlier onset of vertebral fracture over time. […] All vertebral fractures were confirmed on radiologists reports, albeit 23% of them were found incidentally on X-rays taken for another purpose.
  • #71
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #72
    https://pmc.ncbi.nlm.nih.gov/articles/PMC3929546/
    Age-related fractures are projected to increase nationally from 2.1 million in 2005 to over 3 million fractures in 2025, solely on the basis of growth in the elderly population most at risk. […] Unfortunately, there are no recent data on secular trends in incidence that include all fracture types and relevant age-groups. […] To provide more current information on fracture burden in the community, we updated our earlier study to estimate skeletal site-specific and overall fracture incidence in a population-based descriptive study among Olmsted County residents 50 years of age in 200911 and to test for secular trends at each fracture site since 198991. […] Using this unique medical records linkage system (the Rochester Epidemiology Project), we identified all fractures that occurred among Olmsted County residents 50 years old and over during the 3-year period, 200911.
  • #73 Epidemiology | International Osteoporosis Foundation
    https://www.osteoporosis.foundation/health-professionals/about-osteoporosis/epidemiology
    Due to changes in population demography the number of men and women with osteoporosis in the EU will rise from 27.5 million in 2010 to 33.9 million in 2025, corresponding to an increase of 23%. […] Osteoporosis and low bone mass are currently estimated to be a major public health threat for almost 54 million U.S. women and men aged 50 and older. […] The key findings from this study highlight two risk factors for osteoporosis: gender and age. […] Among the 10.2 million adults estimated to have osteoporosis in the United States, more than 80% were women. […] Additionally, osteoporosis takes a huge personal and economic toll. The ensuing fragility fractures have major impacts on the quality of life by causing substantial pain, disability, loss of independence, morbidity and even mortality for the affected patients.
  • #74 Finger fractures: Epidemiology and treatment based on 21341 fractures from the Swedish Fracture register | PLOS One
    https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288506
    The aim of this study was to describe anatomical distribution, treatment, and the incidence of finger fractures based on data from the SFR and to assess possible differences in treatment and result in terms of PROMs according to fracture type, treatment, and sex. Epidemiologic research can identify risk factors, groups at risk and describe current treatment for specific a condition. This knowledge can enable better allocation of resources and more correct implementation of evidence-based treatments. […] The incidence in the VG-region from 2015 to 2019 ranged from 6.6 to 9.3 per 104 PYR. […] Based on the extensive registry data from the SFR this study presents detailed epidemiological information about finger fractures that can be used as a point of reference in clinical work and for future studies.
  • #75
    https://link.springer.com/article/10.1007/s00198-023-06990-6
    The overall age-standardized incidence rates of all forearm fractures declined by 3.5% for men and remained unchanged for women during the study period. Age-adjusted incidence rates of distal forearm fractures slightly declined from 2008 to 2019 for both women and men. […] The observed decline in incidence rates could have multiple explanation. Firstly, changes in lifestyle with reduced smoking, which is a known risk factor for osteoporotic fractures, as well as an increase in body mass index in the population, which have shown to reduce the risk of distal forearm fractures in women. […] The increase of the aging population will increase the workload on hospitals, as well as the fracture-related costs. […] Distal forearm fractures are common fractures in Norway, especially during sub-zero temperatures, and they are highly associated with osteoporosis. […] The results of this study warrant attention to preventive strategies such as fracture liaison service to minimize the risk of subsequent fractures in patients with forearm fracture.
  • #76 Epidemiology of fall related forearm and wrist fractures among adults treated in US hospital emergency departments | Injury Prevention
    https://injuryprevention.bmj.com/content/17/1/33
    The study indicates marked gender differences in unintentional fall related forearm and/or wrist fractures among adults aged 50years treated in US hospital emergency departments. Interventions aimed at preventing falls might be effective in reducing the incidence of this injury, particularly in those women who already have diminished bone mineral.